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| A case of septic shock caused by misdiagnosis of unknown neck abscess#br# |
| PANG Yan LI Peijie |
| Department of Critical Care Medicine, Lanzhou University Second Hospital, Gansu Province, Lanzhou 730030, China |
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Abstract Neck abscesses are mostly caused by odontogenic and pharyngeal infections, usually accompanied by primary infection symptoms. It is easy to be misdiagnosed when there are no typical symptoms and no clear boundary between them and surrounding tissues. This article introduces a case admitted to Lanzhou University Second Hospital on June 7, 2020. The patient, male, 30 years old, presented painful neck mass as the initial symptom and was misdiagnosed as “suppurative thyroiditis”. The initial anti-infection effect was poor, but after admission, the patient was diagnosed as neck abscess caused by odontogenic infection through further imaging and etiological examination, which was improved by anti-infection combined with surgical drainage. The symptoms of this case were not typical, and the low incidence of suppurative thyroiditis and its etiology were not taken into account, and oral periodontal diseases were ignored, leading to misdiagnosis. In order to reduce misdiagnosis, this article differentiates neck abscess from suppurative thyroiditis. In the future, it is necessary to guard against periodontal pathogens when encountering neck abscess of unknown cause, and provide ideas for the diagnosis and treatment of unknown neck abscess.
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